Performance of Baccalaureate Nursing Students in Insertion of Laryngeal Mask: a Trial in Mannequins

NCT01659268 | Completed Results DMC

• 1 other identifier: EERP-2012-LMASIMULATION
• Study Type: interventional
• Target: 17
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare if there difference in acquisition of knowledge and skills in airway management to baccalaureate nursing students submitted to different learning strategies: exhibition-dialogued class and practical activity in skill lab with low-fidelity mannequin or simulation class with low-fidelity mannequin.

Conditions

Respiratory Failure

Keywords

teaching; patient simulation; laryngeal masks; baccalaureate nursing education; teaching strategies; simulation

Outcome Measures

Primary Outcomes (2)

• Scores in Pre and Post-test, Number of Participants Successfully Completing the Overall Performance Simulated Scenario(OSCE).

  Score obtained in pre and post-test written, time to obtain the first effective ventilation (chest expansion through adequate ventilation on the mannequin), number of attempts to insert the LMA in the simulation scenario (OSCE). Pre-test: 20 questions with score of 0.5 points each - minimum score=0 points and maximum score=10 points. Score 5-7 points was considered satisfactory; scores between 7-8 points was considered good performance; above 8 points excellent. Post-test: 20 questions with score of 0.5 points each - minimum score=0 points and maximum score=10 points. Score 5-7 points was considered satisfactory; scores between 7-8 points was considered good performance; above 8 points excellent. OSCE: instrument with total of 10 skills - each skill was subdivided in 4-5 activities (0.2-0.25 points each) - poor performance was score \< 5.0; satisfactory performance 5.0-7.0; good 7.0-8.5 and excellent above 8.5 points.

  Pretest: 40 minutes; Post-test: 40 minutes; OSCE: 10 minutes

• Time to Conclusion of Simulation Scenario (OSCE)

  This result present the total time for execution of simulation scenario (OSCE) by the students.

  10 minutes

Secondary Outcomes (2)

• Time for Acquisition of First Effective Ventilation, Adequate Tidal Volume and Stabilization of Patient.

  10 minutes (600 sec)

• Number of Attempts to Insertion of LMA

  10 minutes (total time of scenario)

Study Arms (2)

Simulation class

EXPERIMENTAL

The students will be submitted a simulation scenario in laboratory with low-fidelity mannequin for 60 minutes, in subgroups of 4-5 students. The simulated condition is a patient in respiratory failure which need of emergency interventions. The approach concepts of anatomic, physiology and clinical interventions using LMA will be discussed during simulation.

Other: Simulation class

Exhibition-dialogued class

OTHER

Students will be submitted to exhibition-dialogued class with duration of 60 minutes; after this, each subgroup composed of 4-5 students will go to the and practical activity in skill lab using the low-fidelity mannequin for 35 minutes.

Other: Exhibition-dialogued class

Interventions

Simulation class OTHER

The students will be submitted a simulation scenario in laboratory with low-fidelity mannequin for 60 minutes, in subgroups of 4-5 students. The simulated condition is a patient in respiratory failure which need of emergency interventions. The approach concepts of anatomic, physiology and clinical interventions using LMA will be discussed during simulation.

Simulation class

Exhibition-dialogued class OTHER

The students randomized to CG will be submitted to exhibition-dialogued class with duration of 60 minutes; after this, will go to practical activity in skill lab using the low-fidelity mannequin with duration of 35 minutes. Each subgroup will be composed of 5-6 students for the practice activity which will last 45 minutes.

Exhibition-dialogued class

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• student must be in the eighth period of course;
• must be registered regular in the baccalaureate nursing course.

You may not qualify if:

• absence in any step of study.

Sponsors & Collaborators

• University of Sao Paulo: lead

Study Sites (1)

College of Nursing at Ribeirao Preto - University of Sao Paulo

Ribeirão Preto, São Paulo, 14040-902, Brazil

Location

MeSH Terms

Conditions

Respiratory Insufficiency

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases

Limitations and Caveats

The limitations of this study are due to the small number of participants in the sample, even after running wide dissemination workshop for print and electronic media with students nursing institution involved in research.

Results Point of Contact

• Title: Cesar Eduardo Pedersoli
• Organization: College of Nursing at Ribeirão Preto, University of Sao Paulo

cesinhajardel@ig.com.br

55(16)3602-3421

Study Officials

• Cesar E Pedersoli, MSN

  College of Nursing at Ribeirao Preto - University of Sao Paulo

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Performance of baccalaureate nursing students in insertion of supraglottic device (laryngeal mask): a randomized controlled trial in mannequins.

Study Record Dates

• First Submitted: August 2, 2012
• First Posted: August 7, 2012
• Study Start: September 1, 2012
• Primary Completion: December 1, 2012
• Study Completion: December 1, 2012
• Last Updated: June 2, 2014
• Results First Posted: June 2, 2014

Record last verified: 2012-12

Locations

BR (1)